Chawla Rohan, Tripathy Koushik, Chaudhary Sunil, Phuljhele Swati, Venkatesh Pradeep
a Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences , New Delhi , India.
Semin Ophthalmol. 2017;32(5):535-536. doi: 10.3109/08820538.2015.1132331. Epub 2016 Apr 29.
To describe a case of hypertension and retinitis pigmentosa presenting with a unilateral macular star.
Case report.
A 17-year-old female with chronic kidney disease and hypertension presented with a mild blurring of vision in the left eye. There was a history of night blindness. Both eyes had optic disc pallor, arteriolar attenuation, and peripheral bony spicules suggestive of the triad of retinitis pigmentosa. Macular star was seen in the left eye alone. We ascribe the macular star to hypertension as the patient had only a mild decrease in vision, no relative afferent pupillary defect, and similar visual evoked response amplitude and latency in both eyes.
Unilateral macular star may be seen in hypertension and may simulate neuroretinitis in the clinical setting.
描述一例伴有单侧黄斑星芒状渗出的高血压合并视网膜色素变性病例。
病例报告。
一名17岁患有慢性肾病和高血压的女性，左眼出现轻度视力模糊。有夜盲病史。双眼均有视盘苍白、小动脉变细以及周边骨细胞样色素沉着，提示视网膜色素变性三联征。仅在左眼发现黄斑星芒状渗出。我们将黄斑星芒状渗出归因于高血压，因为该患者视力仅轻度下降，无相对性传入瞳孔障碍，且双眼视觉诱发电位的波幅和潜伏期相似。
高血压患者可能出现单侧黄斑星芒状渗出，在临床情况下可能类似神经视网膜病变。
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